2014 Federal Income Guidelines for Determining CHIP Eligibility for All Children

Family
Size

Free Coverage
For Ages
1 thru 5
Income Level

Free Coverage
For Ages
6 thru 18
Income Level

Subsidized Coverage 1
For Ages
0 to 1
Income Level

For Ages
1 thru 18
Income Level

Subsidized
Coverage 2
For Ages
0 thru 18
Income Level

Subsidized
Coverage 3
For Ages
0 thru 18
Income Level

At Cost
For Ages
0 thru 18
Income Level

$18,322

$24,274

$15,522

$24,274

$25,091

$30,576

$24,274

$30,576

$30,576

$33,610

$33,610

$36,644

$36,644 -

No Limit

$24,697 -

$32,719

$20,921

$32,719

$33,820

$41,213

$32,719

$41,213

$41,213

$45,303

$45,303

$49,393

$49,393

No Limit

$31,071

$41,164

$26,321

$41,164

$42,549

$51,850

$41,164

$51,850

$51,850

$56,996

$56,996

$62,141

$62,141

No Limit

$37,445

$49,608

$31,721

$49,608

$51,278

$62,487

$49,608

$62,487

$62,487

$68,688

$68,688

$74,889

$74,889

No Limit

$43,819

$58,053

$37,121

$58,053

$60,007

$73,125

$58,053

$73,125

$73,125

$80,381

$80,381

$87,638

$87,638

No Limit

$50,193

$66,498

$42,521

$66,498

$68,736

$83,762

$66,498

$83,762

$83,762

$92,074

$92,074

- $100,386

$100,386 -

No Limit

$94,399

$94,399

$56,568 -

$74,943

$47,920

$74,943

$77,465

$94,399

$74,943

$103,767

$103,767 -

$113,135

$113,135

No Limit

$62,942 -

$83,388

$53,320

$83,388

$86,194

$105,036

$83,388

- $105,036

$105,036 -

$115,460

$115,460 -

$125,883

$125,883 -

No Limit

$69,316

$91,832

$58,720

$91,832

$94,923

$115,673

$91,832

$115,673

$115,673

$127,152

$127,152

$138,631

$138,631 -

No Limit

10

$75,690 -

$100,277

$64,120

$100,277

$103,652 -

$126,311

$100,277 -

$126,311

$126,311

$138,845

$138,845 -

$151,380

$151,380 -

No Limit

11

$82,064 -

$108,722

$69,520

$108,722

$112,381

$136,948

$108,722 - $136,948

$136,948 -

$150,538

$150,538 -

$164,128

$164,128 -

No Limit

12

$88,439 -

$117,167

$74,919

$117,167

$121,110

$147,585

$117,167

- $147,585

$147,585 -

$162,231

$162,231

$176,877

$176,877 -

No Limit

13

$94,813

$125,612

$80,319

$125,612

$129,839 -

$158,222

$125,612

- $158,222

$158,222 -

$173,924

$173,924 -

$189,625

$189,625 -

No Limit

14

$101,187 -

$134,056

$85,719

$134,056

$138,568 -

$168,859

$134,056 - $168,859

$168,859 -

$185,616

$185,616 - $202,373

$202,373 -

No Limit

15

$107,561 -

$142,501

$91,119

$142,501

$147,297

$179,497

$142,501

$179,497 -

$197,309

$197,309 -

16

$113,935 -

$150,946

$96,519

$150,946

$156,026 -

$190,134

$150,946 -

17

$120,310 -

$159,391

$101,918

$159,391

$164,755 -

$200,771

$159,391

18

$126,684 -

$167,836

$107,318

$167,836

$173,484 -

$211,408

$167,836

19

$133,058 -

$176,280

$112,718

$176,280

$182,213

$222,045

$176,280 - $222,045 $222,045 - $244,080 $244,080 -

20

$139,432 -

$184,725

$190,942 -

$232,683

$184,725 - $232,683

- $179,497

$215,122

$215,122 -

No Limit

$190,134 - $209,002 $209,002 - $227,870

$227,870 -

No Limit

- $200,771

$200,771 - $220,695

$220,695 - $240,619

$240,619 -

No Limit

- $211,408

$211,408 - $232,388

$232,388 - $253,367

$253,367 -

No Limit

$266,115 -

No Limit

$255,773 - $278,864 $278,864 -

No Limit

$190,134

$232,683 - $255,773

$266,115

$184,725

$118,118

+Person

$6,375

$8,445

$5,400

$8,445

$8,729

$10,638

$8,445

$10,638

$10,638

$11,693

$11,693

$12,749

$12,749

% FPL

>157%

<=208%

>133%

<=208%

>215%

<=262%

>208%

<=262%

>262%

<=288%

>288%

<=314%

>314%

Note 1. Income guidelines according to the January 22, 2014, Federal Register.
Note 2. The bottom income limit for CHIP forms the upper income limit for Medicaid. The Affordable Care Act permits an income disregard of 5% of the upper Medicaid limit for applicants with incomes near the limit. This provision could result in some CHIP applicants being referrred to the Department of Public Welfare if the household income is near the upper Medicaid limit.
Copyright 2014 UPMC Health Plan, Inc. All rights reserved.
2014 CHP FED INC GDE 14CHIP0016 (SHD) 3/26/14